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C <br /> ace Analytical <br /> ENVIRONMENTAL SCIENCES <br /> Chain of Custody and Cooler Receipt Form for 2602110 Page 2 of 2 <br /> PACE ANALYTICAL. COOLER RECEIPT FORM Page Of <br /> Submission fP .a Oti U <br /> SHIPPING INFORMATION SHIPPING CONTAINER FREE LIGtUID <br /> Fed Ex ❑ UPS❑ GSO I GLS❑ Hand Delivery ❑ ice Chest None ❑ Box ❑ NO ❑ <br /> Pace Lib Field Service Other❑(Specify) Other (Specify) W / S <br /> Refr(g rant: Ice Blue Ice❑ None❑ Other I3 Comments: <br /> Custody Seals ' 'e lip s None Comments: <br /> All samples received? Yes' No E2 All samples contalners Intact? Yes No M Des2criiptfi�on(s)match C0C?Yes No P <br /> 3 _ Dafefiime'b iD j� <br /> COC Received Emissivity: Container. N Thermometer ID: <br /> yf YES ❑NO Temperature: (A) °c ! (c} 2' °C Analystlnit <br /> SAMPLENUMBERS I <br /> SAMPLE CONTAINERS 2 a 4 5 e 7 s s I 10 <br /> I <br /> T PE UNPAES 7 4 <br /> 4Ez/S. Ooz EUNPRES 1J S L L <br /> I <br /> 2oz Cr" <br /> T INORGANIC CHEMICAL uECALs f <br /> INORGAme CHEMICAL METALS 4oz/8oz/16oz ` <br /> PT CYANIDE <br /> PT Nrt•ROGEN FORMS <br /> PTTOTALSOLFUIE <br /> 2oc NITRATE/NTTlUTE <br /> PTTOTAL OAGANIC CARBON f <br /> PT CHEMICAL oxyc;EN DEMAND I <br /> PIA PHENOLICS - f <br /> 40ml VOA VIAL TRAVEL BLANK <br /> 40mIVOAVIAL —G A-C <br /> an t A t1r b I D- <br /> f <br /> PTODOR <br /> RADIOLOGICAL ' f . <br /> BACTERIOLOGICAL _ ,_ ! - <br /> 40 ml VOA VIAL.504 <br /> T EPA 5aV6 0 8318 081A <br /> QT EPA 515-11315IA I <br /> r EPA 575.2 <br /> f <br /> T EPA 525.E TRAVEL BLANK <br /> 40ml EPA 547 ' <br /> I <br /> 40mIEPA531.1 - <br /> 3oz EPA 54&I <br /> T EPA 549.2 <br /> i <br /> T EPA SO15M.' <br /> T EPA 3270C E <br /> E <br /> 8oz/34az132oz AOIBER i <br /> 8orti6oz/32oz JAR' <br /> SOILSLEEVE ' <br /> PCB VIAL r �. <br /> PLASTIC BAG <br /> TEDLAR SAG _. <br /> 1III <br /> FERROUS.IRON �' I <br /> ENCORE- f <br /> SMARTICIT ' <br /> SUMMA CANISTER <br /> Comments: - patelTlme: I Z Z Rag?7 OW2.0= <br /> Sample N1lmbe6ng Completed By <br /> poosFosn+'� <br /> A=Actual 1 C=Corrected lsnwrO°�rae�pama "''$°l <br /> i <br /> The results in this report apply to the samples analyzed in accordance with the chain of custody document.This analytical report must be reproduced in its entirety. <br /> All results listed in this report are for the exclusive use of the submitting party. Pace Analytical assumes no responsibility for report alteration,separation,detachment or third party interpretation. <br /> Report ID: 1001665591 4100 Atlas Court Bakersfield, CA 93308 (661)327-4911 FAX(661)327-1918 www.pacelabs.com Page 4 of 43 <br />